MRS. AMANDA JO LONG (NPI# 1215350293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215350293 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA JO LONG |
| Practice Address |
27753 S Welling Rd Welling OK 74471-2202 |
| Mailing Address |
Po Box 734 Stilwell OK 74960-0734 |
| Practice Telephone | 9184574999 |
| Mailing Telephone | 9186967453 |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1417444753 | Amanda Brendle Long | Nurse Practitioner | 857 Aster Ln, Morganton, GA 30560-3256 | 2018-04-20 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| 1457792889 | Amanda Weaver Long | Speech-Language Pathologist | 1780 Sunflower Cir, Tupelo, MS 38801-8193 | 2013-07-15 |
| 1326658188 | Amanda K Long | Behavior Technician | 11 Moose Run, Barrington, NH 03825-5915 | 2020-08-06 |
| 1639787542 | Amanda Long | Counselor | 342 N Water St Ste 600, Milwaukee, WI 53202-5715 | 2020-07-16 |
| 1437785581 | Amanda Long | Case Manager/Care Coordinator | 515 Dayton St, Hamilton, OH 45011-3455 | 2020-03-20 |
| 1295376945 | Amanda Kate Long | Nurse Practitioner | 715 N Fielder Rd, Arlington, TX 76012-4695 | 2019-10-03 |
| 1467948661 | Amanda Long | Community/Behavioral Health | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2018-07-11 |
| 1760976633 | Amanda Bales Long | Social Worker | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2018-06-14 |
| Street Address |
27753 S WELLING RD |
| City | WELLING |
| State | OK |
| Zip Code | 74471-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942215561 | Lake Country Healthcare LLC | Pharmacy | 27753 S Welling Rd, Welling, OK 74471-2202 | 2006-07-30 |
| 1477117620 | Heather Michelle Taylor | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2019-04-23 |
| 1013406669 | Tanesha Lacie Carter | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2018-05-08 |
| 1942652771 | Samantha Nicole Young | Social Worker | 27753 S Welling Rd, Welling, OK 74471-2202 | 2016-07-05 |
| 1376953497 | Karen Ford | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-28 |
| 1902225808 | Kristy Young | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-08 |
| 1053734079 | Becky Gonelli | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-01-27 |
| 1134559297 | Sandra Girdner | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2013-11-26 |
| 1184976235 | Rachael Michelle Curtis | Case Manager/Care Coordinator | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-10-12 |
| 1043561590 | Autumn Ketcher | Specialist | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922206382 | Sue Ella Dalrymple | Homemaker | 23315 E 830 Rd, Welling, OK 74471 | 2007-07-06 |
| 1407031214 | Hope Dupre Owen | Advanced Practice Midwife | 20432 S 560 Rd, Welling, OK 74471-2006 | 2007-12-31 |
| 1366713794 | Janus Farar | Counselor | 23463 E 774 Rd, Welling, OK 74471-2013 | 2012-01-17 |
| 1396757217 | Onward and Upward Incorporated | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2006-08-12 |
| 1811149933 | Linda Lavelle White | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-10-21 |
| 1396917027 | Mary Elaine Rainwater | Speech-Language Pathologist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2008-04-02 |
| 1881894301 | Christy Dawn Steele | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-07-23 |
| 1699977066 | Patricia Ann Daniel | Occupational Therapist | 23047 E 830 Rd, Welling, OK 74471-2144 | 2007-06-05 |
| 1538299417 | Sugar Mountain Retreat, Inc. | Assisted Living Facility | 26403 S 581 Rd, Welling, OK 74471-2303 | 2007-03-07 |
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366713794 | Janus Farar | Counselor | 23463 E 774 Rd, Welling, OK 74471-2013 | 2012-01-17 |
| 1376953497 | Karen Ford | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2014-04-28 |
| 1083988430 | Debra Ann Shepherd | Counselor | 27753 S Welling Rd, Welling, OK 74471-2202 | 2012-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292464 | Sara Saxman | Counselor | 7829 S Yale Ave Apt A, Tulsa, OK 74136-9051 | 2020-10-15 |
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1942807656 | Terrance Banner | Counselor | 630 Elm Ave, Norman, OK 73019-3109 | 2020-10-06 |
| 1518573658 | Okiestrong Behavioral Health & Counseling, LLC | Counselor | 715 Se 12th St, Moore, OK 73160-7303 | 2020-09-22 |
| 1881207306 | Jennifer Mcdonald | Counselor | 9804 E 21st Pl Apt A, Tulsa, OK 74129-3815 | 2020-08-25 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1588276133 | Samantha Johnette Sowers | Counselor | 404 S Monroe Ave, Wagoner, OK 74467-6200 | 2020-08-17 |
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1154931293 | Morganne Eaton | Counselor | 7777 E U.S. Rte 66, El Reno, OK 73036 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.